ArticleBMC health services research2023
The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 29 citations in OpenAlex.
- Legislative compliance in coordinated care transitions: a mixed-method study of healthcare professionals' documentation and older adults' experiences.International journal of qualitative studies on health and well-being · 2026Article
- Learning Teach-Back in clinical practice: a qualitative study of healthcare professionals.BMC medical education · 2026Article
- Development and validation of the Patient Involvement in Medication Communication at Hospital discharge Questionnaire (PIMCH-Q).Journal of patient-reported outcomes · 2026Article
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- Day Surgery in Older Adults: Safety, Effectiveness, and Best Practices for Patient Selection and Perioperative Care-A Narrative Review.Geriatrics (Basel, Switzerland) · 2026Review
- Usability testing of two co-designed discharge communication tools for use in pediatric emergency departments: findings from the EDUCATE study.BMC pediatrics · 2026Article
- Can geriatric expertise be codified? Why geriatric judgment extends beyond algorithms.European geriatric medicine · 2026Article
- Development of a scale to measure nurses' information sharing practices during care transitions for older adults with high healthcare needs: a cross-sectional study.Frontiers in public health · 2026Article
- Digitally Enabled Discharge Quality After Neurosurgical Traumatic Brain Injury: A 10-Year Cohort from a Brazilian Public Tertiary Center.Healthcare (Basel, Switzerland) · 2025Article
- Exploring consumer and healthcare professional perspectives on discharge medicine communication and solutions for safer transitions of care.BMC health services research · 2025Article
- Mixed methods realist evaluation of a co-designed intervention to promote shared decision-making with frail older adults, planning discharge from hospital: a protocol.BMC geriatrics · 2025Article
- A Nurse-Led Cross-Sectoral Home-Based Follow-Up Visit for Older Patients Discharged From the Hospital: A Practice Research Project.Nursing open · 2025Article
- How hospital doctors respond to contextual factors revealed by older patients with heart failure in hospital interactions: an interaction-based study.BMC health services research · 2025Article
- Hospital discharge communication problems in 10 high-income nations: a secondary analysis of an international health policy survey.BMJ open · 2025Article
- Improving specialist palliative care discharges from hospitals and hospices to community settings: a qualitative interview study of the communication experiences of patients, carers, and primary care professionals.BMC palliative care · 2025Article
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- Patients' Experience with Received Healthcare in Internal Medicine and Surgery Wards of Slovenian Hospitals-A Cross-Sectional Survey.Zdravstveno varstvo · 2025Article
- 'You're Just Thinking About Going Home': Exploring Person-Centred Medication Communication With Older Patients at Hospital Discharge.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Continuity of medication information transfer and continuous medication supply during hospital-to-home transitions - nationwide surveys in hospital and community pharmacies after implementing new legal requirements in Germany.BMC health services research · 2024Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundHospital discharge of older patients is a high-risk situation in terms of patient safety. Due to the fragmentation of the healthcare system, communication and coordination between stakeholders are required at discharge. The aim of this study was to explore communication in general and medication information transfer in particular at hospital discharge of older patients from the perspective of healthcare professionals (HCPs) across different organisations within the healthcare system.
methodsWe conducted a qualitative study using focus group and individual or group interviews with HCPs (physicians, nurses and pharmacists) across different healthcare organisations in Sweden. Data were collected from September to October 2021. A semi-structured interview guide including questions on current medication communication practices, possible improvements and feedback on suggestions for alternative processes was used. The data were analysed thematically, guided by the systematic text condensation method.
resultsIn total, four focus group and three semi-structured interviews were conducted with 23 HCPs. Three main themes were identified: 1) Support systems that help and hinder describes the use of support systems in the discharge process to compensate for the fragmentation of the healthcare system and the impact of these systems on HCPs' communication; 2) Communication between two separate worlds depicts the difficulties in communication experienced by HCPs in different healthcare organisations and how they cope with them; and 3) The large number of medically complex patients disrupts the communication reveals how the highly pressurised healthcare system impacts on HCPs' communication at hospital discharge.
conclusionsCommunication at hospital discharge is hindered by the fragmented, highly pressurised healthcare system. HCPs are at risk of moral distress when coping with communication difficulties. Improved communication methods at hospital discharge are needed for the benefit of both patients and HCPs.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.